Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Mercaptopurine

Generic name
Mercaptopurine
Brand name
ATC Code
L01BB02

Pharmacokinetics in children

No information

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Inflammatory bowel disease (IBD)
  • Oral
    • 1 month up to 18 years
      • 1 - 1.5 mg/kg/day in 1 dose
Oncological conditions
  • Oral
    • 0 years up to 18 years
      • Achtung:
        Dosis und Dosisfrequenz von Zytostatika hängen von der Erkrankung ab und sind stark neuen Erkenntnissen unterworfen. Zytostatika werden in der Onkologie/Hämatologie oftmals in Kombination verwendet. Aus diesem Grunde wird auf die detaillierten Behandlungsprotokolle verwiesen.

        Als Hinweis wird folgende Dosierung des Herstellers angeführt: 2,5 mg/kg/Tag oder 50-75 mg/m2/Tag

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Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Hypoglycaemia (especially with low BMI or children <6 years).

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions

No information available on specific warnings and precautions in children.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Rademaker C.M.A. et al, Geneesmiddelen-Formularium voor Kinderen, 2007
  2. Turner D, et al., Management of pediatric ulcerative colitis: joint ECCO and ESPGHAN Evidence-Based Consensus Guidelines, JPGN, 2012, 55(3), 340-61
  3. GlaxoSmithKline BV, SPC Puri-Nethol (RVG 00589) 13-2-2019, www.cbg-meb.nl
  4. Nova, SmPC Xaluprine 20mg/ml Suspension zum Einnehmen (EU/1/11/727/001), 07/2017
  5. MEDICE, SmPC Mercaptopurin 10mg Tabletten (64742.00.00), 10/2017
  6. Aspen, SmPC Puri-Nethol 50mg Tabletten (6102083.00.00), 09/2017
  7. Informatorium Medicamentorum., (Interacties), Geraadpleegd 16 aug 2018
  8. Nova, SmPC Xaluprine 20mg/ml Suspension zum Einnehmen (EU/1/11/727/001), 07/2017
  9. Wine E. et al., Management of paediatric ulcerative colitis, part 1: Ambulatory care-An updated evidence-based consensus guideline from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition and the European Crohn's and Colitis Organisation, JPGN, 2025, 81(3), 765-815

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Changes

Changes